Jason Hansen, PHARMD

NPI 1215414263 · on the registry since 2018 · sole proprietor

Practice

Address: 1855 W Broadway St
Idaho Falls, ID 83402
Phone: (208) 529-3638
Organisation at this address: Broulim Supermarkets, Llc
Teton Clinical Pharmacy, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Additional practice sites

2730 E Sunnyside Rd, Ammon, ID

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-11-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho